Medicare and Medicaid: the names are similar, they both have to do with healthcare, and it’s easy to get the two confused. But, they’re two very different programs. Here’s a breakdown:
Medicare
Medicare is operated by the federal government and is intended to provide older Americans – those aged 65 or older – with healthcare. You don’t have to meet any income requirements in order to receive Medicare. And, because it’s federally-administered, requirements and benefits are the same throughout the country. There are actually several different types of coverage within the Medicare program:
- Hospital Insurance, or Medicare Part A, covers basic expenses related to hospital stays and some limited expenses related to nursing home and home health care after a patient is released from the hospital.
- Medical Insurance, or Medicare Part B, offers more general coverage for doctor’s visits, certain lab costs, plus certain outpatient medical expenses, such as physical therapy and medical supplies.
- Prescription Coverage, or Medicare Part D, is just what it sounds like – it covers the cost of certain prescription drugs.
Medicare carries with it annual deductibles and co-pays.
Medicaid
Medicaid, on the other hand, is state-administered – so the rules concerning qualifying for the program, as well as exactly what’s covered, vary from state to state. Unlike Medicare, which is available to most older Americans regardless of need, Medicaid is a need-based program. So, in order to qualify for Medicaid, you need to fall below certain income and asset limits.
Once you qualify, though, Medicaid generally offers more coverage than does Medicare, especially when it comes to long-term care, such as nursing home stays.
Also, if you’re 65 or older and you meet the income requirements, you can have coverage through both Medicare and Medicaid. This means that Medicaid can pay your Medicare premiums and deductibles, as well as other healthcare costs not covered by the Medicare program.
For information on qualifying for Medicaid for purposes of long-term care, you can talk to an estate planning attorney.